| Randle-benjamin Aba Consultants Llc | |
|
18540 Citronia St Apt 308 Northridge CA 91324-2266 | |
| (626) 612-6005 | |
| Not Available |
| Full Name | Randle-benjamin Aba Consultants Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 18540 Citronia St Apt 308, Northridge, California |
| Authorized Official Name and Position | Nyvia Randle (OWNER) |
| Authorized Official Contact | 6266126005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randle-benjamin Aba Consultants Llc 18540 Citronia St Apt 308 Northridge CA 91324-2266 Ph: (626) 612-6005 | Randle-benjamin Aba Consultants Llc 18540 Citronia St Apt 308 Northridge CA 91324-2266 Ph: (626) 612-6005 |
| NPI Number | 1609613421 |
|---|---|
| Provider Enumeration Date | 07/10/2024 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609613421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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